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儿童银屑病的诊断与治疗:儿科医生概述。

Diagnosis and Management of Pediatric Psoriasis: An Overview for Pediatricians.

出版信息

J Drugs Dermatol. 2023 Aug 1;22(8):742-753. doi: 10.36849/jdd.7531.

Abstract

Pediatric psoriasis (PsO) and its associated comorbidities carry physical and psychosocial burdens in children and adolescents, which can negatively impact quality of life. However, features distinguishing pediatric PsO from eczema and other common inflammatory skin diseases may not be obvious to primary care providers, which may contribute to underrecognition and misdiagnosis. Accurate diagnosis of pediatric PsO is critical for managing the physical and psychological burdens associated with this disease. This review aims to support pediatricians with enough information to confidently diagnose pediatric PsO, assess associated physical and mental health comorbidities, and recommend first-line treatment options for children with mild to moderate PsO. To accomplish this, we provide information that distinguishes the appearance and symptoms of pediatric PsO from other common pediatric skin conditions. In addition, comorbidities and some of the mental health challenges associated with pediatric PsO are reviewed to help pediatricians provide appropriate care for patients in their clinical practice. Hebert AA, Browning J, Kwong PC, et al. Diagnosis and management of pediatric psoriasis: an overview for pediatricians. J Drugs Dermatol. 2023;22(8):742-752. doi:10.36849/JDD.7531.

摘要

儿科银屑病(PsO)及其相关合并症给儿童和青少年带来了身体和心理社会负担,可能会对生活质量产生负面影响。然而,初级保健提供者可能无法明显区分儿科 PsO 与湿疹和其他常见炎症性皮肤病,这可能导致识别不足和误诊。准确诊断儿科 PsO 对于管理与该疾病相关的身体和心理负担至关重要。本综述旨在为儿科医生提供足够的信息,以自信地诊断儿科 PsO、评估相关的身体和心理健康合并症,并为轻度至中度 PsO 患儿推荐一线治疗方案。为此,我们提供了区分儿科 PsO 与其他常见儿科皮肤疾病的外观和症状的信息。此外,还回顾了与儿科 PsO 相关的合并症和一些心理健康挑战,以帮助儿科医生在临床实践中为患者提供适当的护理。Hebert AA、Browning J、Kwong PC 等人。儿科银屑病的诊断和管理:儿科医生概述。J 皮肤病药物治疗杂志。2023;22(8):742-752.doi:10.36849/JDD.7531.

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